Vital Statistics Form

Please fill this form out as much as possible. It will help us to complete the death certificate and in writing the obituary. All fields with an asterisk are required.

Deceased's Information

If residence, please include address
mm/dd/yyyy
English, Irish, French, German, etc.
Be specific
Primary occupation during working years. *Do not enter \"retired\".
Sales, Medical, Engineering, Construction, etc.
Please list survivors and relationship: son, daughter, brother, sister, etc.
Religious affiliations, fraternal and civic organizations, hobbies, etc.

Informant's Information

A copy of what is submitted will be sent to this email.
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Obituaries & Condolences

Michael Eugene Bartholomees

Maxine Irene Smith

Gary A. Patillo

TROY SCOTT OEHLERT

Hazel “Marie” (Goff) Boaz

Jay Franklin Morris, DDS

Joann (Brown) Desmarteau

Thomas A. Frost

April Emily Raelene Farris

Brandon Joel Russell

Gladys (Malone) Vance

Bob (Hummer) D. Humiston